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Maori Health needs

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https://www.readbyqxmd.com/read/28337038/pilot-study-of-methods-for-assessing-unmet-secondary-health-care-need-in-new-zealand
#1
Philip Bagshaw, Susan Bagshaw, Christopher Frampton, Robin Gauld, Terri Green, Charlotte Harris, Andrew Hornblow, Ben Hudson, Antony Raymont, Ann Richardson, Carl Shaw, Les Toop
AIMS: In this pilot study, the primary aim was to compare four potential methods for undertaking a national survey of unmet secondary healthcare need in New Zealand (one collecting data from GPs, and three from community surveys). The secondary aim was to obtain an estimate of the prevalence of unmet secondary healthcare need, to inform sample size calculations for a national survey. METHODS: An electronic system was set up for GPs in Christchurch (Pegasus PHO) and Auckland (Auckland PHO) to record cases of unmet need as encountered in clinics...
March 24, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28219322/a-screening-program-to-test-and-treat-for-helicobacter-pylori-infection-cost-utility-analysis-by-age-sex-and-ethnicity
#2
Andrea M Teng, Giorgi Kvizhinadze, Nisha Nair, Melissa McLeod, Nick Wilson, Tony Blakely
BACKGROUND: The World Health Organization recommends all countries consider screening for H. pylori to prevent gastric cancer. We therefore aimed to estimate the cost-effectiveness of a H. pylori serology-based screening program in New Zealand, a country that includes population groups with relatively high gastric cancer rates. METHODS: A Markov model was developed using life-tables and morbidity data from a national burden of disease study. The modelled screening program reduced the incidence of non-cardia gastric cancer attributable to H...
February 20, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28080101/racial-discrimination-and-psychological-health-among-polynesians-in-the-u-s
#3
G E Kawika Allen, Hokule'a Conklin, Davis K Kane
OBJECTIVES: There is a dearth of research on the mental health of Polynesians residing in the United States. The aims of this study were to examine experiences of racial discrimination, self-esteem, trait anger, satisfaction with life, and psychological well-being among 628 Polynesians (e.g., Native Hawaiian, Tongan, Samoan, Fijian, Tahitian, Maori; 60% women (n = 378) and 40% men (n = 249); mean age = 28.7). METHOD: Measures were administered through an online survey to 628 Polynesians residing in the United States...
January 12, 2017: Cultural Diversity & Ethnic Minority Psychology
https://www.readbyqxmd.com/read/28052445/acute-rheumatic-fever-and-exposure-to-poor-housing-conditions-in-new-zealand-a-descriptive-study
#4
Jane R Oliver, Nevil Pierse, Niki Stefanogiannis, Catherine Jackson, Michael G Baker
AIM: Acute rheumatic fever (ARF) is an important public health problem in low- and middle-income countries and in certain populations in high-income countries. Indigenous Australians, and New Zealand Māori and Pacific people, have incidence rates among the highest in the world. We aimed to investigate ARF cases' housing conditions and sore throat treatment to identify opportunities for improving ARF prevention in New Zealand. METHODS: Recently diagnosed cases and their care givers were interviewed...
April 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/27977654/the-new-zealand-health-strategy-2016-whither-health-equity
#5
REVIEW
Heather Came, Tim McCreanor, Claire Doole, Emma Rawson
New Zealand's core health policy document-the New Zealand Health Strategy (NZHS)-was released in its final form in April 2016. This paper provides a critique of the strategy in particular, as it relates to health equity particularly for Māori. We introduce the five NZHS themes of-people powered, closer to home, value and high performance, one team and smart system-to focus on the aspirational goal of eliminating health inequities. Our critical framework is informed by Te Tiriti o Waitangi. We identified that the NZHS relies on the isolated efforts of committed individuals and organisations to achieve health equity and Te Tiriti engagement, rather than through a planned systems viewpoint...
December 16, 2016: New Zealand Medical Journal
https://www.readbyqxmd.com/read/27977650/key-informant-views-on-biobanking-and-genomic-research-with-m%C3%A4-ori
#6
REVIEW
Maui Hudson, Kim Southey, Lynley Uerata, Angela Beaton, Moe Milne, Khyla Russell, Barry Smith, Phillip Wilcox, Valmaine Toki, Melanie Cheung
The aim of the Te Mata Ira project was to explore Māori views on biobanking and genomic research, and to identify ways to address Māori concerns over the collection and use of human tissue. Key informant interviews and workshops were conducted with Māori to identify Māori views in relation to biobanking and genomic research; and, informed by these views, interviews and workshops were conducted with Māori and non-Māori key informants (Indigenous Advisory Panel (IAP) members and science communities) to explore key issues in relation to Māori participation in biobanking and genomic research...
December 16, 2016: New Zealand Medical Journal
https://www.readbyqxmd.com/read/27914688/systematic-review-of-rheumatic-disease-epidemiology-in-the-indigenous-populations-of-canada-the-united-states-australia-and-new-zealand
#7
REVIEW
Cairistin McDougall, Kelle Hurd, Cheryl Barnabe
OBJECTIVE: Past publications have highlighted an excess rheumatic disease incidence and prevalence in indigenous populations of Canada (First Nations, Inuit, and Métis), and the United States of America (Alaska Native and American Indian). We have updated these reviews and expanded the scope to include New Zealand (Maori) and Australia (Aborigine) indigenous populations. METHODS: We performed a broad search using medical literature databases, indigenous specific online indexes, and government websites to identify publications reporting the incidence and/or prevalence of arthritis conditions (rheumatoid arthritis, spondyloarthropathies, gout, osteoarthritis, systemic autoimmune rheumatic diseases, and juvenile idiopathic arthritis) in the indigenous populations of Canada, America, New Zealand, and Australia...
November 1, 2016: Seminars in Arthritis and Rheumatism
https://www.readbyqxmd.com/read/27898311/premature-mortality-resilience-and-wellbeing-within-urban-m%C3%A4-ori-communities
#8
Andrew M Waa, Amber L Pearson, John L Ryks
Māori (the indigenous peoples of Aotearoa New Zealand) experience of colonisation has negatively affected access to many of the resources (e.g. income, adequate housing) that enable health and well-being. However Māori have actively responded to the challenges they have faced. With the majority of the Māori population now living in urban settings this exploratory study aimed to understand factors contributing to mortality resilience despite exposure to socio-economic adversity with reference to Māori well-being...
November 26, 2016: Health & Place
https://www.readbyqxmd.com/read/27866422/mapping-the-rehabilitation-interventions-of-a-community-stroke-team-to-the-extended-international-classification-of-functioning-disability-and-health-core-set-for-stroke
#9
Melissa Evans, Clare Hocking, Paula Kersten
PURPOSE: This study aim was to evaluate whether the Extended International Classification of Functioning, Disability and Health Core Set for Stroke captured the interventions of a community stroke rehabilitation team situated in a large city in New Zealand. It was proposed that the results would identify the contribution of each discipline, and the gaps and differences in service provision to Māori and non-Māori. Applying the Extended International Classification of Functioning, Disability and Health Core Set for Stroke in this way would also inform whether this core set should be adopted in New Zealand...
November 20, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27727190/urban-rural-differences-in-breast-cancer-in-new-zealand
#10
Ross Lawrenson, Chunhuan Lao, Mark Elwood, Charis Brown, Diana Sarfati, Ian Campbell
Many rural communities have poor access to health services due to a combination of distance from specialist services and a relative shortage of general practitioners. Our aims were to compare the characteristics of urban and rural women with breast cancer in New Zealand, to assess breast cancer-specific and all-cause survival using the Kaplan-Meier method and Cox proportional hazards model, and to assess whether the impact of rurality is different for Māori and New Zealand (NZ) European women. We found that rural women tended to be older and were more likely to be Māori...
October 11, 2016: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/27717348/patterns-of-privilege-a-total-cohort-analysis-of-admission-and-academic-outcomes-for-m%C3%A4-ori-pacific-and-non-m%C3%A4-ori-non-pacific-health-professional-students
#11
Erena Wikaire, Elana Curtis, Donna Cormack, Yannan Jiang, Louise McMillan, Rob Loto, Papaarangi Reid
BACKGROUND: Tertiary institutions are struggling to ensure equitable academic outcomes for indigenous and ethnic minority students in health professional study. This demonstrates disadvantaging of ethnic minority student groups (whereby Indigenous and ethnic minority students consistently achieve academic outcomes at a lower level when compared to non-ethnic minority students) whilst privileging non-ethnic minority students and has important implications for health workforce and health equity priorities...
October 7, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27670416/-it-s-not-all-just-about-the-dying-kaum%C3%A4-tua-m%C3%A4-ori-attitudes-towards-physician-aid-in-dying-a-narrative-enquiry
#12
Phillipa J Malpas, Anneka Anderson, Pio Jacobs, Takawai Jacobs, Danielle Luinstra, Dolly Paul, Jim Rauwhero, Julie Wade, David Wharemate
AIM: To explore kaumātua attitudes towards physician aid-in dying, to gain a clear understanding of how such attitudes may influence and shape their expectations of medical care at the end of life and to assist health professionals in Aotearoa/New Zealand to address the healthcare needs of older Māori near the end of life. DESIGN: A kaupapa Māori consistent approach was undertaken. A systematic narrative technique was employed for the qualitative data analysis...
September 26, 2016: Palliative Medicine
https://www.readbyqxmd.com/read/27669745/ethnic-inequalities-in-cancer-incidence-and-mortality-census-linked-cohort-studies-with-87-million-years-of-person-time-follow-up
#13
Andrea M Teng, June Atkinson, George Disney, Nick Wilson, Diana Sarfati, Melissa McLeod, Tony Blakely
BACKGROUND: Cancer makes up a large and increasing proportion of excess mortality for indigenous, marginalised and socioeconomically deprived populations, and much of this inequality is preventable. This study aimed to determine which cancers give rise to changing ethnic inequalities over time. METHODS: New Zealand census data from 1981, 1986, 1991, 1996, 2001, and 2006, were all probabilistically linked to three to five subsequent years of mortality (68 million person-years) and cancer registrations (87 million person years) and weighted for linkage bias...
September 26, 2016: BMC Cancer
https://www.readbyqxmd.com/read/27658457/the-association-between-maternal-and-partner-experienced-racial-discrimination-and-prenatal-perceived-stress-prenatal-and-postnatal-depression-findings-from-the-growing-up-in-new-zealand-cohort-study
#14
Laia Bécares, Polly Atatoa-Carr
BACKGROUND: A growing number of studies document the association between maternal experiences of racial discrimination and adverse children's outcomes, but our understanding of how experiences of racial discrimination are associated with pre- and post-natal maternal mental health, is limited. In addition, existent literature rarely takes into consideration racial discrimination experienced by the partner. METHODS: We analysed data from the Growing Up in New Zealand study to examine the burden of lifetime and past year experiences of racial discrimination on prenatal and postnatal mental health among Māori, Pacific, and Asian women in New Zealand (NZ), and to study the individual and joint contribution of mother's and partner's experiences of lifetime and past year racial discrimination to women's prenatal and postnatal mental health...
September 22, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27443245/calciphylaxis-a-case-study-in-a-patient-with-maori-heritage
#15
Lawrence Kingi, Roger Grech, Michael Lam, Ajith Dissanayake, Simon Otter
This case history describes a rare complaint - Calciphylaxis, seen in a New Zealand Maori patient undergoing renal dialysis. This condition causes non-healing tissue ulceration, typically with sepsis and is associated with a very high mortality rate. The need for vigilance among health professionals is highlighted, including the risk factors that may faciliate an early diagnosis; together with the value associated with a multi-disciplinary team approach to management.
November 2016: Journal of Tissue Viability
https://www.readbyqxmd.com/read/27233631/transition-to-practice-can-rural-interprofessional-education-make-a-difference-a-cohort-study
#16
Susan Sue Pullon, Christine Wilson, Peter Gallagher, Margot Skinner, Eileen McKinlay, Lesley Gray, Patrick McHugh
BACKGROUND: The transition from student to health practitioner at entry-to-practice is complex, requiring critical acquisition of collaborative practice skills. In rural communities where health need is multidimensional, there is potential for multiple intentional collaborative learning objectives to be met concurrently. A five-week, rurally-located, clinically-based interprofessional programme was introduced as a transition-to-practice rotation for final-year, pre-registration health professional students in the professions of dentistry, dietetics, medicine, nursing, pharmacy and physiotherapy...
May 28, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27197797/comprehensive-clinical-assessment-of-home-based-older-persons-within-new-zealand-an-epidemiological-profile-of-a-national-cross-section
#17
Philip J Schluter, Annabel Ahuriri-Driscoll, Tim J Anderson, Paul Beere, Jennifer Brown, John Dalrymple-Alford, Timothy David, Andrea Davidson, Deborah A Gillon, John Hirdes, Sally Keeling, Simon Kingham, Cameron Lacey, Andrea K Menclova, Nigel Millar, Vince Mor, Hamish A Jamieson
OBJECTIVE: Since 2012, all community care recipients in New Zealand have undergone a standardised needs assessment using the Home Care International Residential Assessment Instrument (interRAI-HC). This study describes the national interRAI-HC population, assesses its data quality and evaluates its ability to be matched. METHODS: The interRAI-HC instrument elicits information on 236 questions over 20 domains; conducted by 1,800+ trained health professionals. Assessments between 1 July 2012 and 30 June 2014 are reported here...
August 2016: Australian and New Zealand Journal of Public Health
https://www.readbyqxmd.com/read/27154970/recruiting-pregnant-indigenous-women-who-smoke-into-a-high-contact-incentivized-cessation-trial-a-feasibility-study
#18
Anette Kira, Marewa Glover, Natalie Walker, Linda Bauld
INTRODUCTION: Smoking prevalence among pregnant indigenous women is disproportionately higher than for nonindigenous pregnant women. Incentives have been shown to increase retention in and the effectiveness of smoking cessation programs. To trial if this could work for indigenous women, we aimed to recruit and observe retention of Māori (New Zealand indigenous people) pregnant women that smoke into a cessation program using incentives. METHODS: A parallel group, randomized controlled feasibility trial was undertaken in New Zealand...
October 2016: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/27054698/differences-in-breast-cancer-survival-between-public-and-private-care-in-new-zealand-which-factors-contribute
#19
COMPARATIVE STUDY
Sandar Tin Tin, J Mark Elwood, Ross Lawrenson, Ian Campbell, Vernon Harvey, Sanjeewa Seneviratne
BACKGROUND: Patients who received private health care appear to have better survival from breast cancer compared to those who received public care. This study investigated if this applied to New Zealand women and identified factors that could explain such disparities. METHODS: This study involved all women who were diagnosed with primary breast cancer in two health regions in New Zealand, covering about 40% of the national population, between June 2000 and May 2013...
2016: PloS One
https://www.readbyqxmd.com/read/27027513/exploring-the-maternal-and-infant-continuum-ethnic-disparities-in-infant-hospital-admissions-for-respiratory-disease
#20
Beverley Lawton, James Stanley, Sara Filoche, Sue Garrett, Sally B Rose, Bridget Robson, C Raina Elley
OBJECTIVE: To investigate maternal and birth-related risk factors associated with infant respiratory hospitalisations in New Zealand. METHODS: A Kaupapa Māori-framed retrospective cohort analysis of public hospital maternal data linked to infant data (54,980 births 1995-2009). Primary outcome was rate of hospitalisation for respiratory disease in the first year of life. Risk variables examined included socioeconomic status (SES), age, smoking, parity, gestation, time to hospital discharge, breastfeeding and maternal ethnicity as a potential marker of differential exposure to risk factors...
October 2016: Australian and New Zealand Journal of Public Health
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